In this bonus episode, physical therapy students, Emily Buggeln and Colleen Noonan interview Daniel Corcos on resistance training for persons with Parkinson Disease. This interview was organized by the knowledge translation task force for the clinical practice guideline for the physical therapist management of people with Parkinson disease. For more resources, check out their webpage at https://www.neuropt.org/practice-resources/anpt-clinical-practice-guidelines/pt-management-of-parkinson-disease  

The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy –www.neuroPT.org.  

In this episode of 4D, we talk with Dr. Colin Grove about his recent ANPT poster presentation from the International Conference for Vestibular Rehabilitation entitled “People Living with Advanced Multiple Sclerosis Demonstrate Unique Strategies to Compensate for Vestibular-Ocular Reflex Deficits”. Host Chris Burke talks with Colin about what constitutes gaze stability, and how the vestibular-ocular reflex can be altered in patients with MS with reports of imbalance and dizziness. Colin and Chris also discuss implications for treatment and future research directions related to vestibular impairment in people with MS. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy –www.neuroPT.org

Show notes available at: https://app.box.com/s/mys3qixxiuvl3gwoyc0m71a0mprysb9h

In this episode of 4D, Parm talks with Dr. Alexis Drutchas and Dr. Jaclyn Shameklis about creating open conversations with patients who have illnesses that can have drastic and lasting impacts on their lives. We discuss the Serious Illness Conversation Guide, and how it can be applied in a physical therapy setting, especially for patients with degenerative diseases. They build a case that having these conversations, early and often, allows health care providers to get to the root of what is important to patients and make the best recommendations in their area of expertise. We hope this podcast helps listeners think differently about and feel more confident when discussing prognosis and goals with patients with neurodegenerative conditions. 

Show notes available here: https://neuropt.org/docs/default-source/degenerative-diseases-sig/4d-podcast-show-notes—2019/4d-episode-35-with-alexis-druchas-and-jaclyn-shameklis.pdf?Status=Temp&sfvrsn=46c15d43_2

Access the Serious Illness Conversation Guide here:  https://mghcontinuumproject.org/app/uploads/2022/08/MGH_SIC-Guide.pdf

In this episode of 4D, we talk with Dr. Nora Fritz about her expansive research in the field of Multiple Sclerosis (MS) rehabilitation. Dr. Fritz talks with host Katy McGraw about her research on the relationship between backward walking velocity and falls, and the effects of cerebellar involvement on the motor and cognitive function in people with MS. Tune in to learn more about what PTs can be assessing and addressing to best serve the MS patient population. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuroPT.org  

Show notes – https://www.neuropt.org/docs/default-source/degenerative-diseases-sig/4d-episode-34-with-nora-fritz.pdf

In this episode of 4D, we talk with Dr. Debbie Backus from the Shepherd Center in Atlanta, GA and Dr. Laura Rice from the University of Illinois Urbana-Champaign about their abundance of research in fall risk and fall prevention for wheelchair users with Multiple Sclerosis (MS). Host Chris Burke talks with our guests about what risk factors clinicians should be on the lookout for, what outcome measures to consider, and evidence based intervention strategies for this population. Tune in to learn more from the experts on how to reduce fall risk and optimize function in this unique population.  The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy –www.neuroPT.org 

Show notes: https://www.neuropt.org/docs/default-source/degenerative-diseases-sig/ddsig-episode-33.pdf

In this episode, we talk with Dr. Catherine Lang and Dr. Carey Holleran from Washington University in St. Louis about their article scheduled for publication in the January 2023 issue of JNPT titled “Improvement in the Capacity for Activity Versus Improvement in Performance of Activity in Daily Life During Outpatient Rehabilitation.” Dr. Lang and Dr. Holleran discuss the difference between patients’ capacity in the clinic and their functional performance outside of the clinical setting. In this multi-site trial, they compared performance and capacity measures for patients with Parkinson disease and stroke, measuring upper limb and lower limb function. Tune in to hear more about their statistical analysis, selection of outcomes, and clinical implications of considering performance when evaluating patients, setting goals, and measuring progress. 

The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuroPT.org 

Show notes available at: https://www.neuropt.org/docs/default-source/degenerative-diseases-sig/ddsig-episode-32.pdf 

Note to listeners: We want to hear from you! We value listener feedback and are always working to improve our podcast. Share your 4D podcast feedback with us here: https://forms.gle/NKAC5Lob5rxpZ3459   

In this special 3-year anniversary episode of 4D, host Parm Padgett and DDSIG secretary and podcast editor Sara Zoeller dive into the world of neuro-rehab and the pet peeves that come along with it. From terminology to exercise intensity to balance, we hear from previous guests and board members about what they are itching to correct in neuro PT practice. Join us with special guests Anne Kloos, Jeannie Stephenson, Herb Karpatkin, Lori Quinn, Vanina Dal Bello-Hass, Judy Deutsch, Alicia Flach, Amy Yorke, and Julie Hershberg as they share their personal pet peeves when it comes to neuro rehabilitation.  

The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.org. 

Show notes 

To learn more about the Moving Forward/Evidence Elevates Task force, check out their site on the ANPT website here: https://neuropt.org/practice-resources/best-practice-initiatives-and-resources/moving-forward 

Guests 

Vanina Dal Bello-Haas PT, PhD 

Judy Deutsch PT, PhD 

Alicia Flach PT, DPT 

Julie Hershberg PT, DPT 

Herb Karpatkin PT, DSc 

Anne Kloos PT, PhD 

Lori Quinn PT, EdD 

Jeannie Stephenson PT, PhD 

Amy Yorke PT, PhD 

In this episode, we highlight one of the winners of our poster awards at CSM 2022. Lindsay Fitchett talks to Chris Burke about her group’s systematic review of wearable sensors assessing balance and mobility in people with PD. They discuss themes from the review including differentiating PIGD and tremor-dominant subtypes, looking at fall risk, assessing movement strategies/transfers, and sensor-based interventions. They also discuss potential future avenues for sensors in rehab. 

The Degenerative Disease Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.org 

In this episode, we highlight one of the winners of our poster awards at CSM 2022. Jason Longhurst talks to Katy McGraw about his research on gait characteristics in people with PD. His research looks at data from people without freezing, people with freezing on initiation, and people with non-initiation-type freezing. He discusses the role of gait variability in clinical presentation and expands on how this research might inform PT intervention and make interventions more specific to patients with different presentations in the future. 

The Degenerative Disease Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.org 

Guest information: 

Jason Longhurst Ph.D., PT, DPT, NCS 

Assistant Professor 
St. Louis University 

Related Articles  

Ziegler K, Schroeteler F, Ceballos-Baumann AO, Fietzek UM. A new rating instrument to assess festination and freezing gait in Parkinsonian patients. Mov Disord. 2010 Jun 15;25(8):1012-8. doi: 10.1002/mds.22993. PMID: 20310009.